HomeMy WebLinkAbout96-04040
Deporlment olll1e TreOlurv . Inlernol Revenue Service
Form 66B (V) (c) 'jill,
(Rev. October 1993) Notice of Federal Tax Lien
, Dletrlct Serial Number For Gpr/on./ U.. by R.co/dlng Ol//c.
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AI provided by I8cllons 6321, 6322, and 6323 of tho Intornol Rovenue '..
Code, we Ire giving a nollce that texes (Including Interost and ponallles)
hsvI been essessed dgalnst the followlng.named toxpayer. We hove modo
. de mend for paymont of this liability, but It romaine unpold, Therofore,
there Is . lien In fevor of the United Stotes on 011 property and rights to I
property belonging to this toxpoyer tor the amount of theee taxn, and .,
eddltlonal penollles, Interest, and costs that may accrue, I' "
Nome 01 T8xpayer lit U IJ./\hIJlJ 'JI "I'll ~; I I. \ 11,1'. 1",11")1,-,1,1111 !,Ij
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IMPORTANT RELEASE INFORMATION, For eac" asses~ment "~ted below, 11'1,OC\)(1
unless notice 01 lien Is rellled by the dato givcnln column Ie), tl1l~ notice shall, C ,\ II \;)',,/,\']
on the day lollowing such date, operate as a certificate 01 release as dell11ed
In IRC 6325(0), K 1\ I~ IO"'~
Tllx Period Data of Lost Day lor Unpaid Bolonel
Kind of T8x Ended Idenlltylng Number Assessmont Roflllng of Asseument
(II) (b) (e) (d) (e) (I)
'1/11 J..:' I J 1 ,. 'f.. r_' I ,,_t,: ;'1;l'l'j It/t.i/ ',I, I ,..! .,.1) 'I IL~ ~l:Jl. ,<'I
'jlll . I' s/' II { '.jl.:, .. /I.I~ ;.~, I ':1'-1 I I" , ._: .! p, l d : {'I,'" / ll' 68'3.46
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'J'll. t -iJ! _1/1/ 'JG ..~:J -.<1):](, t 'J':l I,j') / 1. t .' JI ~ 11_\{ 11/1,,1;, I.'J~H . 16
';"11 I )':1/ .III/'~f1:.. ~',{ /'.JHi,j';I') IJJ I'll /':h, I I 1 I ~ I /I.ll L']G2,08
, ',14 t 1,'1__11..' ')b ,."I...t:tJ~J() L 5'J '-1 ,1/ ".1;,,' '_.~(") I.).I/..:.'/I._h 21; 14.21
Place of Filing
Ill' q t h () ~ll) t. ,. t"',' Total $
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This notice was prepared and signed at
II I i',t, iloll.-'111, lig
, on this,
the ?4t.hd~01
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Title
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. JilL 11'_'(.1.1
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(NOTE: Certlflcat. 01 olllce, autho,Ized by law 10 10\0;8 Ol:kno....ludgments I, not enontialto Ihl '1alldlly ClI Nolle. 01 F.d.rll TIX lI.n
~.v. Aul. 7,.466, 1971 .2 C.B. '09)
\ Port 1 . Kept By Rccordlng Olllce Form 66B (Y) (c) (Rev. 10/93)
Form 668(l)
mil... fl.07)
Departmenl 01 the Tr..eury . Internel Rovenua Service
Certificate of Release of Federal Tax Lien
DI.lrlel I Serlel Number
I cerllly Ihellhe lollowlng.nemed IIMplyer, under the requlremente 01 eaellon 6325 (I)
01 the Internll R.venue Code hie elllell.d th. tUII lI.t.d below and .11 .t.tulory
Iddlllon., Th.r.rore, Ihe lI.n provld.d by Cod. ..ellon 6321 lor tha.e laM" .nd
.ddlllon. h.. b.en rel....d, The proper ollleer In Ih. olllel whIrl thl nolic. of
Internal revenue IIN lI.n w.. m.d on__ . _, . ,
. .,_..... ,,___'.__, I. luthorlz.d to not. Ihe book. to .how the ..Ieee. of thl. lien for
the.. lex.. end .ddlllone.
Neme orTlNpey.r
For Ule by R.cordlng Oltlc.
Rllldence
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Kind 01 Tex
(a)
Tex Period End.d Identifying Number
(b) (c)
DIle ot
Allellmtlnl
(d)
.tV) ,W~J:~
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It 1\ . '1l.l'l'l
Lnt Dey for Unpeld .I.ne. of
R,flllng AI.ellm.nt
(e) (f)
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Pllce 01 Filing
Totel
.
This notice was preparad and slgnad al
, on this,
the __ day of
1--'
Signature .' ) I Tille
(NOlI: C,urlfll.'n/IJ 01 dllcor Iwrl10fllttd by '.lW 10 t.I/1ft fI(~nol'l'lol!f)mltn'5 lit 'h:lf fJ1J611!l/ldl III fM \lillll/rry dClJfMIC/I'" ,,, He'If/16ft 0' '8de,,,' Tar lien Rltv RI.I. ".4~". '97'.3 C.8 409'
PART t . RecoRDINO OFFiCe
FOIm HI (t) (A...., 8
CAT, NO U